Platform or group
Contract holder
Headway, Alma, or a group
On the roster
- You
- Others
Their contract, under their tax ID. It doesn’t come with you when you leave.
Guide 3 of 8Bomi is an insurance concierge for therapy practices.
Credentialing: payers, rates, and timing.
We apply to the insurance networks you choose, under your own practice, so the contracts belong to you. Your practice’s first four applications are included; after that it’s $50 per payer per therapist. Payers decide approval, effective dates, and rates; we confirm each effective date before you bill.
- 1
Week 1
Applications go out
Within about a week of your setup being complete.
- 2
Around day 40
We follow up
We confirm receipt early, then chase every open application.
- 3
60-90 days
Typical approval
Recent examples: Aetna about 30 days, Medicare about 35, BCBS about 45. Payers set the pace.
- 4
Slower payers
Plan ahead
Medicaid can take about six months. Some payers waitlist in some states.
- 5
Then you bill
Live
Direct deposit and ERAs set up, payer IDs loaded, first claims out.
Send requested documents promptly; that’s the one delay you control.
Who holds the contract
A payer signs one contract with one holder, and clinicians are listed on that holder’s roster. We work with individual and practice-held contracts; your attorney and CPA decide the entity question. Already contracted under your own practice? We work with your existing contracts after confirming effective dates and billing setup.
Individual
Contract holder
You (SSN + Type 1 NPI)
On the roster
- Just you
Your contract. Works with major payers; adding people later means re-credentialing.
Your practice
Contract holder
Your LLC, PLLC, or PC (EIN + Type 2 NPI)
On the roster
- You
- Future hires
Your contract, with room to add people. This is what we recommend for most practices.
Every application, in one place
Status per payer, what each one is waiting on, and a button to request more. The same list comes to you in the Monday email.
Rates
We don’t estimate rates before you join; your contract with each payer sets your rate. Once a year we go back to each of your payers and try to negotiate a better one.
Medicare and Medicaid
Medicaid can take up to six months, so it goes in first. A recent Medicare application took about 35 days; timing varies. Both have enrollment steps and sometimes fees, which we walk you through.